Doctor Visit Request Form

Please fill out the particulars, below if you need to see a medical practitioner, but do not intend to take any sick leave.  If your medical need is of a more urgent nature, please contact the FAO or any bilingual member of the executive.  Once you have submitted this form please call the FAO to book a time to see the Doctor.  This is because there is no guarantee when the FAO may see your form request that is mainly used for administrative purposes.

"Why do I need to fill out this form?"

This form allows the administrative department to determine insurance payments and cost tracking.